P0214 - Urgent questions of treatment of patient with organ somatization and somatoform disorders

Abstract

Object:

The frequency of organ somatization in multimedical network

Materials:

The results of clinical and epidemiological study of 2181 patients (average age-54 ± 0.8)

Methods:

List of clinical and anamnestic behavior sign of adaptative form of disease of patients with comorbidity

Standard scales for evaluation of anxiety and depression.

Results:

Patients with somatoform pain had more complicated pharmacological treatment, complex diagnostic procedures, sometimes surgical interventions, and they more often had analgesic dependence 5,8 (P<0,05).

Patient with idiopathic pain (response to antidepressant therapy 4,2 (P<0,05) and cognitive therapy 2,8(P<0,05)) and organ somatizations (analgesic dependence 3,5 (P<0,05), effect of antidepressant therapy 4,3 (P<0,05) response to cognitive therapy 3,4(P<0,05)) almost never had an idea about the mental nature of agonizing somatic sensations, seldom collaborated with psychiatrists. The choice of group of antidepressants is preferable and is formed with the specter of secondary effects and the individual characteristics.

Conclusion:

Nowadays there is no coordinated medical viewpoint of treatment of patients with clinical somatic symptoms.

As rule, recommendations for treatment of somatoform disorder are preliminary and have not correct psychopharmacologic studies.

Cloth and truthful contact between physician and psychiatrist particularly important in this case.

Prolongation of this problem studying will lead to creating of correct therapeutic recommendations for medicine treatment of patients with somatoform disorders in comorbid conditions.